Pulmonary infections after oesophagal resection
Conditions
Interventions
Both IMT interventions will consist of preoperative, individually tailored
breathing exercises during 3-6 weeks prior to surgery (i.e. the waiting period
for oesophageal resection). The IMT will be
Sponsors
Universitair Medisch Centrum Groningen
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: Patients selected for oesophagal resection due to cancer
Exclusion criteria
Exclusion criteria: •Neuromuscular disorders that might impede the performance and effects of muscle training •Paresis of facial nerve that might impair the use of the IMT-device •Inability of travelling independently to the rehabilitation centre •Cognitive disorder or emotional instability that might impede the participation in the rehabilitation program •Participation in any other clinical trial that measures quality of life or physical functions (exception: follow-up evaluation of clinical trials)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| •% pulmonary postoperative complications (i.e. atelectases, pneumonia, pulmonary oedema and respiratory failure, see appendix I) | — |
Secondary
| Measure | Time frame |
|---|---|
| - Maximal inspiratory muscle strength and endurance (Pi max and Pm-peak/Pimax) - % compliance and % adherence rate - Dyspnoea and muscle fatigue (Borg) - Duration of mechanical ventialtion - Number of re-intubations - Diaphragm function - Lung volumes/oxygen uptake, gas exchange - Self-efficacy (ALCOS) - Anxiety (STAY-DI) - Pain (Visual Analogue Scale), dyspnea an muscle fatigue (Borg) - Complications/adverse events | — |
Countries
Netherlands
Outcome results
None listed